Meaghan Brennan
Individual provider Active NPI Physician Assistant · Roslyn, NY
NPI 1700538204 · NPPES record last updated Jan 25, 2022
Key facts
- NPI
- 1700538204
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 027784-01 (NY)
- Practice address
- 100 Port Washington Blvd
Roslyn, NY 11576-1347 - Phone
- (516) 562-6000
- NPI assigned
- Jan 25, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Mercy College, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Samaritan Medical Services PC
Practice addresses (Care Compare)
100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone (516) 325-7520
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (516) 705-2689
Hospital & facility affiliations
- St Francis Hospital - the Heart Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220906001236 | NY | Practitioner - Physician Assistant | 9830573104 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current |
Accepting new patients | |
| North Shore - Lij Medical PC | Current |
Accepting new patients |
Locations
101 Saint Andrews Ln
Glen Cove, NY 11542
Phone (516) 674-7300
300 Community Dr
Plandome, NY 11030
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 027784-01 | NY | Yes |
Addresses
Primary practice location
100 Port Washington Blvd
Roslyn, NY 11576-1347
Mailing address
15 University PL
Glen Head, NY 11545-1538
Phone (516) 761-9401
Other providers in Roslyn, NY
- Kaupin J Brahmbhatt
- Justin Bral
- Michelle Bral
- Lenore J Brancato
- Beverly Brandman
- Patrick Brennan
- Alexandra Broccolo
- Olivia D Brown
- Stuart Brown
- Lisa Bruefach
All providers in Roslyn, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.